The hospital environment and its impact on people with dementia 4.1 © Greater Manchester West Mental Health NHS Foundation Trust
4.2 To consider what aspects of the hospital environment can be disabling to people with dementia To explore ideas on practical ways to improve the physical environment Aims © Greater Manchester West Mental Health NHS Foundation Trust
The hospital environment: What aspects of the hospital environment do you think create problems for people with dementia ? 4.3 © Greater Manchester West Mental Health NHS Foundation Trust
4.4 © Greater Manchester West Mental Health NHS Foundation Trust
Improving the hospital environment Lighting: ◦ Bright but avoiding glare... ◦ Natural light where possible Familiarity: ◦ Avoid unnecessary moves ◦ Familiar items from home for the bed area ◦ Pictures of interest in communal areas Flooring: ◦ Avoid highly polished, reflective surfaces 4.5 © Greater Manchester West Mental Health NHS Foundation Trust
Way-finding: ◦ Signage that is clear and at an appropriate level and uses pictures as well as words ◦ Objects/pictures/themes that distinguish/identify areas ◦ Handrails with colour contrast to walls ◦ Walls and floors clearly demarcated by colour contrast Noise: ◦ Aim for reduction in noise where possible particularly at night ◦ Opportunity for patients to access quieter areas 4.6 © Greater Manchester West Mental Health NHS Foundation Trust
Occupation/relaxation: ◦ Presence of social areas that are homely, calming and interesting ◦ Where possible facilitate access to other facilities in the hospital (shop/cafe) and outdoor space (garden needed!) Toilets and bathrooms: ◦ Warm, light and offer privacy ◦ Should be clearly signed ◦ Reflect purpose and as “non-clinical” as possible Eating: ◦ Quiet and conducive to eating ◦ Contrasting colours for plates and cups against the table Adapted from Dementia Service Development Centre (2009) 4.7 © Greater Manchester West Mental Health NHS Foundation Trust
Your ideas to: 1. Improve way-finding and accessibility 2. Create interest / opportunity for occupation 3. Establish points of familiarity 4. Promote calm and restfulness Improving the hospital environment 4.8 © Greater Manchester West Mental Health NHS Foundation Trust